| Mary C Wiczek, APRN,CNP | |
|
2420 W Division St, Saint Cloud, MN 56301-3926 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Mary C Wiczek |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 2420 W Division St, Saint Cloud, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962003277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 7722 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital | Coon rapids, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Memorial Health Care | 0042123028 | 469 |
| Group Health Plan Inc | 1759293954 | 1487 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Entity Name | North Memorial Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary C Wiczek, APRN,CNP 2420 W Division St, Saint Cloud, MN 56301-3926 Ph: (866) 389-2727 | Mary C Wiczek, APRN,CNP 2420 W Division St, Saint Cloud, MN 56301-3926 Ph: (866) 389-2727 |
Angela Dorothy Moscho, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 Fax: 320-255-6378 | |
Mandy Fay Krippner, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 | |
Lindsey Beckman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1301 33rd St S, Saint Cloud, MN 56301 Phone: 701-373-1826 | |
Kristen J Heffern, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1301 33rd St S, Saint Cloud, MN 56301 Phone: 320-251-8181 Fax: 320-257-1733 | |
Naomi Maangi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 524 25th Ave N, Saint Cloud, MN 56303 Phone: 320-202-1909 | |
Jessica Hollenkamp, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 | |
Rebecca Kastanek, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Rehabilitation Services St.cloud Hospital, Saint Cloud, MN 56303 Phone: 320-255-5740 Fax: 320-656-7155 |